J.D. gets a reality-check when the white lab coat that he is allowed to wear as a resident does not bring the new level of respect he thought it would, and Elliot earns a reputation after her first one-night stand with another doctor. Meanwhile, Turk tries to fit-in with the surgical "boys club" and finds himself struggling with whether being part of the club is worth the price of admission. Dr. Cox teaches Carla a lesson about surviving in medicine, by enrolling a patient into a clinical trial without approval.